Provider Demographics
NPI:1528211661
Name:GRAHAM, CHERYL F (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:F
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 OLD EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0336
Mailing Address - Country:US
Mailing Address - Phone:530-224-8717
Mailing Address - Fax:530-244-1546
Practice Address - Street 1:2485 OLD EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0336
Practice Address - Country:US
Practice Address - Phone:530-224-8717
Practice Address - Fax:530-244-1546
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist